DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B05M000583›IVAN PATEL

IVAN PATEL

Dependent on policy B05M000583

Claims
3
Attributed to this person
Charged
2,152.00
Total submitted
Denied
1,259.00
2 denied claims
Patient responsibility
0.00
Reported on the 835

Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.

Who this is

FieldValue
NameIVAN PATEL
Role on the policyDependent · relationship 19
PolicyB05M000583
Date of birth11 Oct 2009
PlanSILVER HMO
Covered from24 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000248114 Jan 2026502.00CASCADE CARECARC 50 · MEDICAL_NECESSITY502.00
CLM00024799 Aug 2025757.00CASCADE CARECARC 16 · BILLING_ERROR757.00
CLM000248029 Jun 2025893.00CASCADE CARENot denied—